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Campaign Finance Receipts and Expenditures Report Page 1 of 1
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Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 7/3012018 Topeka, KS 66612
Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov
Check only if appropriate C Amended Filing LJ Termination Report
Campaign Finance Candidate Name:Doug Blex Filing Report Address: 3131 CR 2600
Address2:
City: Independence Zip: 67301 County: Montgomery
Home Phone: (620) 289-4663 Business Phone:
Office Sought: State Representative District: 12
SUMMARY (covering the period from 1/1/2018 through 7/26/2018)
1 CASH ON HAND AT BEGINNING OF PERIOD 3550.51
2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $8,650.00
3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $12,200.51
4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $8,152.99
5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $4,047.52
6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $360.00
7 OTHER TRANSACTIONS (Schedule D) view/print 2700.00
"I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."
Electronically filed on: 7/30/2018 12:01 :05 PM Signature of Candidate or Treasurer: Barbara Brown
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Campaign Finance Schedule A Report Page 1 of2
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SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Candidate: Doug Blex
Date
07/24/18
07/23/J8
07II9/18
07/1 8II 8
07/\7/J 8
Name and Address of Contributor
Kansas Optometric PAC 1266 SW Topeka Blvd Topeka KS 66612
Credit Union PAC Committee 90 \ SW Topeka Blvd Topeka KS 666\2
John Farmer, Inc PO Box 352 Russell KS 67665
Kansas Insurance Agents PAC 8\5 SW Topeka Blvd Topeka KS 666\2
Kansas Cooperative Council PAC PO Box 1747 . Hutchinson KS 67504
Type of Payment
Cash, Check, Loan, E-funds, Other
Check
Check
Check
Check
Check
Occupation of Individual Giving More Than $150
Amount
$500.00
$250.00
$\ 00.00
$250.00
$250.00
07/l6II8
07/12/18
07/09/18
Kansas New Energy Economy PAC 610 Brazos St Austin TX 78701
Kansas Physical Therapy Assoc PAC 5845 SW 29th St Topeka KS 666\4
Kansas CRNA PAC 10437 W 125th Ter Overland Park KS 66213
Check
Check
Check
$300.00
$250.00
$\50.00
07/06/18
07/05/18
07/03118
07/02/18
07/01118
06/29/l8
06/271I8
Kansas Beverage Assn PAC 5845 SW 29th St Topeka KS 66614
Kansas Fann Bureau PAC 2627 KFB Plaza Manhattan KS 66502
Kansas Agri-Business Council 816 SW Tyler St Topeka KS 66612
RAI Services Co PO Box 464 Winston-Salem NC 27102
Kansas Wine & Spirits Wholesalers PAC 212 SW 8th Topeka KS 66614
Kansas Medical Society PAC 623 SW 10th Ave Topeka KS 66612
Check
Check
Check
Check
Check
Check
Check
$250.00
$500.00
$500.00
$250.00
$200.00
$500.00
$500.00
http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/30/2018
Campaign Finance Schedule A Report Page 2 of2 Kansas Ethanol PAC 816 SW Tyler St Topeka KS 66612
06/27/18 Kansas Realtors PAC 3644 SW Burlingame Rd Topeka KS 66611
Check
06/25/l8 ARJ Infusion Services Inc 7930 Marshall Dr. Lenexa KS 66214
Check
06/20/18 BNSF Railway Company 4515 Kansas Ave Kansas City KS 66106
Check
06/19/18
Kansas Rural Indep Telecom PAC PO Box 4799 Topeka KS 66604
Check
06/l 8/l 8 Kansas Livestock Assoc PAC 6031 SW 37th St Topeka KS 66614
Check
06/l3/18
HCA Kansas Good Government Fund PAC 5845 SW 29th St Topeka KS 66614
Check
06/08/l8 Westar Energy Employees PAC PO Box 889 Topeka KS 6660 I
Check
06/08/18
Kansas Committee For Rural Electric PAC PO Box 790 Meade KS 67864
Check
06/06/] 8
Kansas State Farm Ins Agents PAC 825 S Kansas Ave Topeka KS 66612
Check
06/06/18 Kansas Bankers Assoc PAC PO Box 4407 Topeka KS 66604
Check
03/15/18 Gregory Hennen 2117 Cedar Springs Ln Independence KS 6730 I
Check 4 County Exec. Director
Total Itemized Receipts for Period
Total Unitemized Contributions ($50 or less)
Sale of Political Materials (Unitemized)
Total Contributions When Contributor Not Known
TOTAL RECEIPTS THIS PERIOD
$500.00
$250.00
$250.00
$250.00
$500.00
$250.00
$500.00
$500.00
$250.00
$500.00
$150.00
$8650.00
$0
$0
$0
$8650.00
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Campaign Finance Schedule B Report Page 1 of 1
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SCHEDULE B
IN-KIND (NON-MONETARY) CONTRIBUTIONS
Candidate: Doug Blex
Date Name and Address of Contributor
Occupation ofIndividual Giving More Than $150
Description of In-Kind Contribution
06/01/18
Kansas Chamber of Commerce PAC 835 SW Topeka Blvd Topeka KS 66612
Voter Data File
Total Itemized (over $100) In-Kind Contributions
Total Unitemized ($100 or less) In-Kind Contributions
TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD
Value of In-Kind Contribution
$360.00
$360.00
$0
$360.00
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Campaign Finance Schedule C Report Page lof2
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SCHEDULE C
EXPENDITURES AND OTHER DISBURSEMENTS
Candidate: Doug Blex
Date Name and Address Purpose of Expenditure or Disbursement
Amount
07/25/18 The Courier/Times 201 E 9th Winfield KS 67156
SUbscription Newspaper Subscription
$75.98
07/23/18 Butler Times Gazette 114 N Vine St EI Dorado KS 67042
Newspaper Ads Advertising
$779.00
07/23/18 KGGF Radio 306 W 8th St Coffeyville KS 67347
Radio/TV Advertising
$1,149.12
07/20/18 My Town Media 309 N Penn Independence KS 67301
Radio/TV Advertising
$540.00
07/20/18 Chautauqua County Fair 306 W Cherokee Sedan KS 67361
Rental Booth Rental
$50.00
07/20/18 Chautauqua County Fair 306 W Cherokee Sedan KS 67361
Miscellaneous Arena Advertising
$250.00
07/17/18 The Courier/Times 201 E 9th Winfield KS 67156
Newspaper Ads Advertising
$598.08
07/17/18 Montgomery County Chronicle PO Box 186 Caney KS 67333
Newspaper Ads Advertising
$960.00
07/16/18 Independence Daily Reporter PO Box 869 Independence KS 67301
Newspaper Ads Advertising
$1,125.38
07/11/18 Thornton Graphics 500 E 6th Caney KS 67333
Miscellaneous Magnetic Vehicle Sign
$74.55
07/01/18 Good News 124 State St Caney KS 67333
Newspaper Ads Advertising
$865.00
06/06/18 Thornton Graphics 500 E 6th Caney KS 67333
Yard signs yard signs
$479.25
06/06/18 $180.00
7/30/2018http://www.kssos .org/elections/cfr_viewer/reports/schedule_cJeport.aspx
Campaign Finance Schedule C Report Hawver Capital Report 3823 SW Wood Valley Dr Topeka KS 66610
Subscription extended news subscription
Page 2 of2
05/30/18
Montgomery Republican Central Committee Virgil Pack, Chair 2647CR 1700 Havana KS 67347
Newspaper Ads Forum Advertising
$250.00
OS/20/18 Hawver Capitol Report Inc 3823 SW Wood Valley Dr Topeka KS 66610
Subscription Newspaper Subscription
$180.00
05/19/18 National Right to Life 51210thStreetNW Washington DC 20004
Newspaper Ads Advertising
$175.00
05/14/18 US Postal Service 5826 SW Topeka Blvd Topeka KS 66619
Postage/Shipping Postage
$201.63
03/12/18 Department of Corrections Capitol Building Topeka KS 66614
Supplies Picture frames
$40.00
02/16/18 Secretary of State 120 SW 10th Topeka KS 66612
Filing Fee Filing Fee
$120.00
02/13/18 Department of Corrections Capitol Building Topeka KS 66614
Supplies Picture frames
$60.00
Total Itemized Expenditures This Period $8152.99
Total Unitemized Expenditures of $50 or less $0
TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $8152.99
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Campaign Finance Schedule D Report Page 1 of 1
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SCHEDULE D
OTHER TRANSACTIONS
Candidate: Doug Blex
Date
04/18/18
10/25/16
06/28/16
Name and Address
Pau line Store 5826 SW Topeka Blvd Topeka KS 66619
Doug Blex 3131 CR2600 Independence KS 67321
Doug Blex 3131 CR 2600 Independence KS 67321
Nature of Account or Loan Payable or Loan Receivable
Loan from candidate for donation of flag to Caney Library
Loan for Mileage 4500 miles .50 mile
Loan from candidate for campaign supplies
Balance at Close of Period
$50.00
$2,250.00
$400.00
TOTAL OTHER TRANSACTIONS I $2,700.00
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